Ensuring EvidenceBased Cardiac Care and Patient Education at MultiCare

1
Ensuring Evidence-Based Cardiac Care and Patient
Education at MultiCare
Universal Cardiac Patient/Family Education Record

• Introduction
• The new patient/family education record will
• Serve as a tool for interdisciplinary
  documentation of cardiac
• patient education
• Incorporate teaching/education of not just the
  patient, but also
• the family or caregiver
• Be used in conjunction with existing
  documentation tools to
• help plan and guide patient care from
  admission through
• discharge
• Help care providers better assess and define
  learning needs
• and activities for the patient and family

How can this improve our practice?

• Helps streamline
• interdisciplinary care planning
• and communication
• ? Reduces number of
• documentation tools
• ? More conducive to electronic
• charting when implemented

• ? Helps us meet JCAHO
• standards
• ? Content and structure of the
• tool reflects current
• research findings and
• evidence-based practice
• ? Facilitates evidence-based
• care delivery and patient
• outcomes

This table demonstrates how the content in the
new Cardiac Patient/Family Education Record meets
JCAHO standards
Who uses this new form? All those involved in
caring for and educating cardiac patients

• Selected References
• ? JCAHO Patient and Family Education Standards
  sections PF 1-3.8 (2003-2003
• edition) or sections PC 5.50, 6.10, 6.30
  (2004 edition)
• ? Clinical Practice Guidelines from The American
  College of Cardiology www.acc.org
• and the American Heart Association
  www.americanheart.org
• ? Fleury, J. Moore, S. M. (1999).
  Family-centered care after acute myocardial
• infarction. The Journal of Cardiovascular
  Nursing,13(3), 73-82.
• ? Barnason, S., Zimmerman, L. (1995). A
  comparison of patient teaching outcome
• among postoperative coronary artery bypass
  graft (CABG) patients, Progress in
• Cardiovascular Nursing, 10(4), p. 11-20.
• ? Standards of Practice Professional
  Performance for the Acute Critical Care Nurse
• Specialist www.aacn.org/AACN/Advanced.nsf/F
  iles/ss/file/ssweb4_02.doc

• How does this work?
• The new form includes a key at the top of each
  page for documentation of the following
• Assessment of patient and family learning
  needs, abilities,
• barriers, and preferences
• Interventions, instructional methods, and
  content used to
• teach the patient and/or family
• Evaluation/Reassessment of patient and family
  learning

• Acknowledgments
• Susan Campanelli RN, BSN, Nancy Nichols RN, BSN,
  Gerry Chambers RN, Faith Hammel RN, MN, Christi
  McCarron RN, MBA, and the staff at Tacoma
  Generals Coronary Care and Cardiovascular ICU.